| NPI | 1912499666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARTIN Ccc Slp, Bcba 972-379-8379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-09-5783) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |